Table of Contents
Baird Nursing Home LLC
Inspection Report, Updated April 2013
PFI: 0434
Regional Office: WRO--Rochester Area Office
This report displays citations for the three most recent Certification Surveys, and citations for Complaint Surveys during the past three years.
Summary
This table summarizes the citations in the details section of this report and compares them against the statewide average.
| Measure | This Facility | Statewide Average |
|---|---|---|
| Standard Health Deficiencies | 23 | 18 |
| Life Safety Code Deficiencies | 7 | 7 |
| Total Deficiencies | 30 | 25 |
| Deficiencies Related to Actual Harm or Immediate Jeopardy | 1 | 1 |
| % of Deficiencies Related to Actual Harm or Immediate Jeopardy | 3% | 4% |
Details of Certification and Complaint Surveys
Key to understanding citations and surveys:
Potential for no more than Minimal Harm
Potential for more than Minimal Harm
Actual Harm
Immediate Jeopardy
Isolated
Pattern
Widespread
- Certification surveys are on-site inspections required every 9-15 months by the federal government.
- Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
February 22, 2013 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity  | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
ACTIVITY PROGRAM MEETS INDIVIDUAL NEEDS  | | |  | n/a |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | n/a |
| ADEQUATE AND COMFORTABLE LIGHTING LEVELS | | | | n/a |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| CORRIDOR DOORS | | | | n/a |
| DOORS IN FIRE AND SMOKE PARTITIONS | | | | n/a |
| STAIRWAY ENCLOSURES AND VERTICAL SHAFTS | | | | n/a |
April 10, 2012 Complaint Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| FACILITY IS FREE OF ACCIDENT HAZARDS | | |  | May 8, 2012 |
January 5, 2012 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| DIGNITY | | | | March 5, 2012 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | March 5, 2012 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | March 5, 2012 |
| PROPER LABELING OF DRUGS AND BIOLOGICALS | | | | March 5, 2012 |
| PHYSICAL ENVIRONMENT | | | | March 5, 2012 |
| STANDARDS OF CONSTRUCTION FOR NEW EXISTING NURSING HOME | | | | March 5, 2012 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| EXIT ACCESS | | | | January 13, 2012 |
| MEDICAL GAS SYSTEM | | | | January 13, 2012 |
| SMOKING REGULATIONS | | | | January 13, 2012 |
February 16, 2011 Certification Survey
View Statement of Deficiencies issued for this Inspection Cycle
Standard Health Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| ESSENTIAL EQUIPMENT IN SAFE OPERATING CONDITION | | | | March 7, 2011 |
| FACILITY ESTABLISHES INFECTION CONTROL PROGRAM | | | | March 31, 2011 |
| STORE/PREPARE/DISTRIBUTE FOOD UNDER SANITARY CONDITIONS | | | | March 31, 2011 |
| CLINICAL RECORDS MEET PROFESSIONAL STANDARDS | | | | March 31, 2011 |
| DEVELOP COMPREHENSIVE CARE PLANS | | | | April 15, 2011 |
| DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN | | | | April 15, 2011 |
| FACILITY IS FREE OF ACCIDENT HAZARDS | | | | March 31, 2011 |
| MEDICALLY RELATED SOCIAL SERVICES | | | | March 31, 2011 |
| NOT EMPLOY PERSONS GUILTY OF ABUSE | | | | March 31, 2011 |
| SERVICES BY QUALIFIED PERSONS IN ACCORDANCE WITH CARE PLAN | | | | March 31, 2011 |
| ACTIVITY PROGRAM MEETS INDIVIDUAL NEEDS | | | | March 31, 2011 |
| RESIDENT CAN SEND/RECEIVE UNOPENED MAIL | | | | March 7, 2011 |
| RESIDENT CALL SYSTEM | | | | March 11, 2011 |
Standard Life Safety Code Inspection
| Deficiency | Severity | Residents Affected | Substandard Quality of Care | Correction Date |
|---|---|---|---|---|
| EXIT LIGHTING | | | | March 11, 2011 |
Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.
If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.